Striuk R I, Golikova A A, Brytkova Ia V, Abdurazakova A M
Kardiologiia. 2012;52(7):36-41.
We observed 137 patients, 72 of whom (53%) had hypertension in II trimester of pregnancy, and 65 patients (47%) who had hypertension in perimenopausal period. The comprehensive clinical and instrumental examination was carried out in all patients, including simultaneous 24-hour ambulatory blood pressure (BP) recording (with BP pattern), assessment of vegetative tone using the vegetative index (index Kerdo). Sympathetic/adrenergic activity (SAA) was quantified as β-receptor binding (β-RB). Hypertension in pregnant women is associated with increased activity of the sympathetic-adrenal system, as evidenced by high values of β-ARM, the Kerdo index and the presence of correlation between these parameters. Parasympathicotonia in perimenopausal women prevails.
我们观察了137例患者，其中72例（53%）在妊娠中期患有高血压，65例（47%）在围绝经期患有高血压。对所有患者进行了全面的临床和仪器检查，包括同步24小时动态血压记录（包括血压模式），使用植物神经指数（凯尔多指数）评估植物神经张力。交感神经/肾上腺素能活性（SAA）通过β受体结合（β-RB）进行量化。孕妇高血压与交感-肾上腺系统活性增加有关，β-ARM、凯尔多指数的高值以及这些参数之间的相关性证明了这一点。围绝经期女性以副交感神经张力占优势。
